| NPI | 1720476153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 007626) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P91990) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2019-11-21 |